Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $72.23 / $100.74	Facility		$56.09	$72.23	$100.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $56.09 / $126.07	Professional		$50.37	$56.09	$126.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $101.92 / $119.76	Facility		$47.51	$101.92	$119.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $54.64	Professional		$50.37	$50.37	$54.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $122.88 / $158.30	Professional		$50.37	$122.88	$158.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $72.03 / $108.30	Facility		$46.48	$72.03	$108.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $53.39 / $65.48	Professional		$50.37	$53.39	$65.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $62.96 / $151.11	Facility		$50.37	$62.96	$151.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $75.34 / $120.56	Facility		$47.51	$75.34	$120.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $54.64 / $75.34	Professional		$36.97	$54.64	$75.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $88.69 / $188.81	Facility		$55.32	$88.69	$188.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $56.07	Professional		$50.37	$50.37	$56.07